Provider Demographics
NPI:1275671430
Name:MARIA A. HERNANDEZ, M.D. LLC
Entity Type:Organization
Organization Name:MARIA A. HERNANDEZ, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-442-6144
Mailing Address - Street 1:129 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3751
Mailing Address - Country:US
Mailing Address - Phone:540-442-6144
Mailing Address - Fax:540-442-6145
Practice Address - Street 1:129 UNIVERSITY BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3751
Practice Address - Country:US
Practice Address - Phone:540-442-6144
Practice Address - Fax:540-442-6145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231276207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty